SURPRISE FAMILY DENTISTRY

SURPRISE, AZ
NPI1679933154
Doing Business AsSURPRISE FAMILY DENTISTRY
Entity TypeOrganization
Authorized ContactSHREEDEVI THULASIDAS
Dentist
623-556-5510
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D05975)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D07677)
1223G0001X Dentist, General Practice
(Licence: AZ  D07677)
1223G0001X Dentist, General Practice
(Licence: AZ  D05975)
1223P0700X Dentist, Prosthodontics
(Licence: AZ  D07677)
Enumeration Date2016-02-26
Last Update Date2016-11-01
Business Address
SURPRISE FAMILY DENTISTRY
18775 N REEMS RD STE 300
SURPRISE, AZ 85374-8647
Phone number: 623-556-5510
Mailing Address
SURPRISE FAMILY DENTISTRY
18775 N REEMS RD STE 300
SURPRISE, AZ 85374-8647
Phone number: 623-556-5510